| Kendra R Prater-holt, NP | |
|
101 Jv Mangubat Dr, Suite B, Waynesboro, TN 38485-2440 | |
| (931) 722-9999 | |
| (931) 722-2049 |
| Full Name | Kendra R Prater-holt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 101 Jv Mangubat Dr, Waynesboro, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548292840 | NPI | - | NPPES |
| 4135504 | Other | TN | BCBS OF TN |
| 3710089 | Medicaid | TN | |
| 3643558 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN0000011888 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maury Regional Hospital | 4688569718 | 25 |
| Entity Name | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| Entity Name | Maury Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861479545 PECOS PAC ID: 4688569718 Enrollment ID: O20040330001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra R Prater-holt, NP 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 722-9999 | Kendra R Prater-holt, NP 101 Jv Mangubat Dr, Suite B, Waynesboro, TN 38485-2440 Ph: (931) 722-9999 |
Mrs. Hillary J Cope, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Jv Mangubat Dr, Waynesboro, TN 38485 Phone: 931-722-2800 Fax: 931-722-9627 | |
Mrs. Patricia D Castleman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Jv Mangubat Dr, Waynesboro, TN 38485 Phone: 931-722-2800 Fax: 931-722-9627 | |
Mrs. Judy Lynn Jones, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Highway 64 E Ste 4, Waynesboro, TN 38485 Phone: 931-722-7722 | |
Mrs. Valerie Ann Hall-glass, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Jv Mangubat Dr, Waynesboro, TN 38485 Phone: 931-722-2800 Fax: 931-722-9627 | |
Paula A Cole, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Jv Mangubat Dr, Suite B, Waynesboro, TN 38485 Phone: 931-722-9999 Fax: 931-722-2049 | |
Kaitlyn Anne Averett, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Jv Mangubat Dr, Waynesboro, TN 38485 Phone: 931-722-2800 Fax: 931-722-9627 |